Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): A systematic review

2021 ◽  
Vol 56 ◽  
pp. 101407
Author(s):  
Micheline M.D. De Meyer ◽  
Olivier M. Vanderveken ◽  
Sonia De Weerdt ◽  
Luc A.M. Marks ◽  
Bernadita A. Cárcamo ◽  
...  
2019 ◽  
Vol 24 (3) ◽  
pp. 99-109 ◽  
Author(s):  
Jorge Faber ◽  
Carolina Faber ◽  
Ana Paula Faber

ABSTRACT Introduction: Obstructive Sleep Apnea and Hypopnea Syndrome (OSAS) is a highly prevalent disease with serious consequences for the patients’ lives. The treatment of the condition is mandatory for the improvement of the quality of life, as well as the life expectancy of the affected individuals. The most frequent treatments provided by dentistry are mandibular advancement devices (MAD) and orthognathic surgery with maxillomandibular advancement (MMA). This is possibly the only treatment option which offers high probability of cure. Objective: The present article provides a narrative review of OSAS from the perspective of 25 years of OSAS treatment clinical experience. Conclusion: MADs are a solid treatment option for primary snoring and mild or moderate OSAS. Patients with severe apnea who are non-adherent to CPAP may also be treated with MADs. Maxillomandibular advancement surgery is a safe and very effective treatment option to OSAS.


2017 ◽  
Vol 22 (2) ◽  
pp. 35-45
Author(s):  
Julian Balanta-Melo

Objective: The aim of this study is to identify the craniofacial changes of long term use of Mandibular Advancement Devices (MAD) for Obstructive Sleep Apnea (OSA) treatment trough a systematic review of the literature. Materials and methods: A systematic review was performed assessing the following electronic databases: PubMed, EBSCOhost, The Cochrane Library and EMBASE,between January 2000 and May 2014, human studies and english language. Inclusion and exclusion criteria were applied to the results. Selected articles were evaluated with the use of an international check list related to the type of the study (CONSORT). A classification of the level of evidence and the degree of recommendation were performed trough the SORT strategy. Results: 1383 articles were identified after the initial search. After applying the criteria selection and complete the check list selected (CONSORT) only 1 study fulfilled the inclusion criteria. A classification of the level of evidence and grade of recommendation were performed by using the SORT strategy to the selected article. Conclusions: No enough body of evidence were found in this study to identify the craniofacial changes with the long term use of Mandibular Advancement Devices for the treatment of Obstructive Sleep Apnea.


2015 ◽  
Vol 37 (6) ◽  
pp. 618-626 ◽  
Author(s):  
Natasha Nazarali ◽  
Mostafa Altalibi ◽  
Samir Nazarali ◽  
Michael P. Major ◽  
Carlos Flores-Mir ◽  
...  

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